NC Future of Nursing Action Coalition BSN Initiative Taskforce Champions Foundation for Nursing Excellence NC Area Health Education Centers

Tracking the NC Future of Nursing Journey The NC Institute of Medicine (NCIOM) convened a task force to study the nursing workforce 2004 NCIOM Nursing Taskforce Report Updated – 2007 Included priority recommendation to increase % of BSN-prepared nurses 2010 – Institute of Medicine of the National Academies of Science Report: Future of Nursing: Leading Change, Advancing Health

Journey continues……. - April 2011 Summit – Creating the Future of Nursing and Health Care in NC > 200 thought leaders across multiple sectors Identified top 4 priorities for action in NC - 4/11-10/11 - Organizing the NC Future of Nursing Action Coalition - 9/11 - Recognition as an Action Coalition by Future of Nursing Campaign for Action - July/Aug 2011 Edition of NC Medical Journal - Future of Nursing in North Carolina

Coalition’s Mission & Values MISSION: Transforming Nursing for North Carolina’s Health We VALUE: –the health of North Carolinians –the contributions of every nurse and healthcare provider –nurses as partners with consumers and other members of the health care team –the work of nursing that improves the health and health care of North Carolinians

Access to Care Taskforce NC Future of Nursing Coordinating Council* Future of Nursing Advisory Committee Strategic Communications Committee Policy Development Committee Policy Development Committee PRIORITIES FOR ACTION: CHAMPIONS AND VOLUNTEERS Leadership Taskforce BSN Initiative Taskforce Workforce Data Taskforce *Council Members: Foundation for Nursing Excellence (FFNE), AARP North Carolina, East Carolina Center for Nursing Leadership (ECCNL), North Carolina Board of Nursing (NCBON), North Carolina Nurses Association (NCNA), North Carolina Organization of Nurse Leaders (NCONL) and North Carolina Area Health Education Centers Programs (NC AHEC).

GOAL #3: INCREASE THE PROPORTION OF NURSES WITH A BSN OR HIGHER DEGREE TO 80% BY 2020 Major Action Strategies to achieve goal: Implement RIBN statewide by 2016 Promote educational advancement Create a seamless educational progression from LPN/ADN to DNP/PhD Cultivate and promote nurse faculty role

Currently…. NC Nursing Education Programs (2011) 59 associate degree programs (ADN) –55 based in community colleges 18 pre-licensure BSN programs 1 pre-licensure MSN program 2 diploma programs 19 RN to BSN completion programs 38 practical nurse education programs

Currently…. NC RN Nursing Workforce Greater than 66% of new graduates are prepared at the associate degree (ADN) level Only 15.6% of ADNs have completed a BSN or higher degree Decreasing pipeline for future faculty and advanced practice roles

Implement RIBN Statewide by 2016 Major Strategy underway…. What is RIBN? Partnership between community colleges and universities to Regionally Increase Baccalaureate Nurses Dual Admission Criteria and Curriculum approved by both institutions Recognized as BSN program by NC Educational Assistance Authority New Educational Track to BSN degree NOT an RN to BSN program

Four Year RIBN Curriculum Home-based at CC Years 1-3 –Take one university course per semester to maintain admission status and earn credits toward BSN - Most university courses on-line Year 1 – General education/nursing pre-reqs Years 2 & 3 - Complete ADN program; eligible for RN licensure Year 4: Complete BSN courses/degree at university while being eligible to work as RN

History of RIBN Across NC AB Tech & WCU developed model in NC – 1 st students admitted 2010; 1 st BSN grads Regional RIBN Partnerships added in 2010 –Centralina, Eastern NC, Hickory, Rural Piedmont, Wilmington –5 universities, 13 CCs, 1 private ADN program –Admit 1 st RIBN students 2012; 1 st BSN grads 2016 Project new BSN grads/year beginning 2016 RIBN interest expanding statewide 1/3 rd of NC BSN programs and 1/4 th NC CCs now involved

WNC [pilot] Western Carolina University Asheville-Buncombe Technical Community College Rural Piedmont Pfeiffer University Stanly Community College Hickory Lenoir-Rhyne University Western Piedmont Community College Wilkes Community College Caldwell Community College Catawba Valley Community College Mitchell Community College Regional RIBN Partnerships Cherokee Graham Clay Swain Macon Jackson Transylvania Haywood Buncombe Madison Henderson Yancey McDowell Rutherford Polk Cleveland Burke Mitchell Avery Watauga Ashe Wilkes Caldwell Alleghany Surry Alexander Catawba Lincoln Iredell Gaston Mecklenburg Union Anson Cabarrus Stanly Rowan Davie Yadkin Stokes Forsyth Davidson Rockingham Guilford Randolph Montgomery Richmond Moore Caswell Alamance Orange Durham Chatham Person Granville Vance Warren Wake Lee Johnston Franklin Harnett Scotland Robeson Columbus Brunswick New Hanover Bladen Hoke Cumberland Sampson Duplin Pender Onslow Jones Lenoir Wayne Craven Greene Wilson Nash Edgecombe Pitt Halifax Northhampton Hertford Bertie Martin Beaufort Gates Chowan Perquimans Camden Currituck Pasquatank Washington Tyrrell Dare Hyde Pamlico Carteret Tier One Counties Eastern North Carolina East Carolina University Lenoir Community College Beaufort Community College Roanoke-Chowan Community College Pitt County Community College Wilmington UNC Wilmington Cape Fear Community College Centralina UNC Charlotte Gaston College Central Piedmont Community College College of Health Sciences at Carolinas Healthcare System

Expected RIBN Outcomes Increase proportion of BSN-prepared nurses Increase access to BSN programs, particularly in rural areas Increase faculty and APRN pipeline Resource sharing among RIBN partners – faculty, labs, other learning opportunities Economically feasible option to achieve BSN

Other major strategies to reach goal Priorities through 2012 –Create a business model to articulate return on investment for increasing the nursing workforce prepared with the BSN degree and above –Promote Educational Advancement for practicing nurses: Common statewide approved general education and pre-nursing requirements

Together we can transform nursing in North Carolina!!! Visit our website at for more information on the RIBN Project & Future of Nursing Action Coalitionwww.ffne.org